HomeMy WebLinkAbout2609 Canby Way - Applications/Basement Finish - 10/05/2012City of f a COMMUNITY DEVELOPMENT&NEIGHBORHOOD SERVICES
For/t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.ftgay.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER b I,�A olt APPLICATION DATE `" 1,:),
Job Site Address 2609 Canby Way Unit #
PROPERTY OWNER INFO: (All owner Information Is required - it Is not optional) Phone #
Last name Mc Dougal First Name HOW & Kevin Middle
Street Address 2609 Canby Way City Fort Collins stateCO Zip80525
CONTRACTOR INFO: Company Name JW Development Contractor Phone # (970) 222-9102
Lic Holder Name John Walz City of Fort Collins License # Supervisor Cart #
Mailing Address P.O. Box 1344 City Fort Collins State CO Zip 80522
LEGAL INFO:
Subdivision/PUD Rigden Farm Filing # t Lot # 56 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft Ina including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 °' Floor Sq Ft
2^d Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 800 # of Bedrooms 0 # of Full Baths 0 -/. Baths 0 '/. Baths 0 # of Fireplaces 0
Air Conditioning,. YeC]N Energy Info: ( Cirde appmpriale choice) 1. ComChecic 2. ResCheck w/Air Sealing El
S. ResCheck w/Blower Door 4. Simulated Performance Aftemativell 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No[:] Temp. Pedestal Yes❑ No
El
Type of Heat: nGas ❑Electric Electric Main Breaker Size (Residential only) 1-150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 24,240
Description of Work:
Finish 800 sq ft basement: ec Room, OffiCe, Exerdse Room
Contact Name & Phone # of JOSSITE SUPERVISOR: John Watz (970) 222-9102
Electrical Avery Electric Mechanical
Framer N/A Roofing N/A
Solar
Other
Custom HVAC
Concrete N/A
Other
Plumbing N/A
Fireplace N/A
Other
Applicant: I hereby adm edge that I have read this application and state that the above Information Is correct and agree to comply with all requirements
contained herein and C' Fort Collins inanc s and state laws reg sting building construction.
Applicant Signatur Print Name Carey Hughes Phone (970) 219-1542
Distribution: White - Office Yellow - Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE